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This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

Objectives. The authors determined the association between availability and quality of school health services and reproductive health outcomes among sexually active students. Methods. The authors used a 2-stage random sampling cluster design to collect nationally representative data from 9107 students from 96 New Zealand high schools. Students self-reported whether they were sexually active, how often they used condoms or contraception, and their involvement in pregnancy. …

The authors analyzed the reasons behind first sex, cases of regret, and the association between reasons and regret. They provided a questionnaire to 8,495 high school students ages 14–18 years residing in the Philippines, El Salvador, and Peru. Sexually active participants were asked what circumstances led them to become involved in their first sexual relationship. They also were asked whether they regretted having already had sexual relationships. …

This article presents data on both lifetime and daily exposure to specific mass media sources among Ne pal’s urban youth. It also presents in formation on preferred radio stations and television channels; the role of the mass media in disseminating messages about social and health is sues; the mass media as a source of in formation on contraceptive methods, HIV/AIDS and puberty; and their role as a source of sex education for boys and girls. Finally, it ex amines the factors that influence urban youths’ exposure to the mass media in Nepal.

This issue of journal is about reproductive rights, advocacy and changing the law. Papers on abortion cover the role of political parties and political process in changing the law, the role of feminists and doctors in efforts to get hospitals in the context of restrictive law, and efforts to get nurses and other health workers to confront their own prejudices against abortion in order to make service provision women-centred. Two papers delve into the meaning of reproductive health and rights and the role of advocacy in implementing changes in reproductive health law, policies and services.